Laserfiche WebLink
Environmental Health Department <br />Telephone: £10)695-7366 <br />Total Attendance: 100 <br />_ Number of dumpsters: 2 <br />APPLICATION <br />1. <br />2. <br />temporary event coordinator, I <br />Event Coordinator PATRICK MANNING Date: <br />5. <br />6. <br />E Yes <br />E Yes <br />E Yes <br />Temporary Event Application <br />Application Review Fee of $162 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />SAN JOAQUIN <br />-----COUNTY------ <br />Greatness grows here. <br />Name of Event: TRACY LITTLE LEAGUE - SNACK BAR (FALL BALL) <br />Date(s) of Event: SEPT. 1, 2023 - OCT. 31, 2023 jjme Of Event:Sat. 8 am - 6 pm; M-F 4 pm - 9 pm <br />Location: LEGACY FIELDS - 4901 N. TRACY, BLVD., TRACY, CA 95304 <br />Event Coordinator (Name): PATRICK MANNING <br />Mailing Address: P-O- BO 103, Tracy, CA 95378 <br />Number of Food Booths: _2 <br />Approximate attendance at peak time: 100 <br />GENERAL EVENT FILE INFORMATION <br />1. <br />2. <br />3. <br />4. <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) <br />b) <br />c) <br />d) <br />e) <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />Is potable water supplied and available for each food vendor: <br />Is electricity supplied and available for each food vendor: <br />Are janitorial facilities available: <br />Number of toilets provided: 8 <br />Name of sanitary garbage disposal company: West Valley Disposal <br />Method of disposal of liquid waste for food booths: Toilet or Mop Sink <br />This application is to be completed and signed by the Event Coordinator, then w .;,c <br />Environmental Health Department with all Food Vendor’s Applications no later than two weeks prior to the <br />event. ------------------------------------ <br />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />___ <br />AUGUST2072023 <br />eh8d?6-02 HaZe,t°n AVenUS 1 Stockton- California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />06/29/2023 Pa9e 1 °f 11 TEMP EVENT APP <br /> <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department with all <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />) Average A®e: 10-65 <br />□ No <br />□ No <br />□ No <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $162 per hour (weekdays 8:00 am to 5:00 pm) <br />• After regular business hours (weekday, weekends and holidays) the inspection is charged at a <br />minimum three-hour overtime rate of $729.00 <br />application Is to be completed and signed by the Event Coordinator, then returned to the <br />event.